Submission for OMB Review; Comment Request, 62999 [E8-25038]
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Federal Register / Vol. 73, No. 205 / Wednesday, October 22, 2008 / Notices
fee for all prescriptions. While the State did
not follow this recommendation, it did not
adequately explain why it chose the
dispensing fee for brand name drugs based
on the 40th percentile value ($8.68) and the
initial dispensing fee for generics based
slightly below the 80th percentile value
($11.89). The State’s current dispensing fee of
$5.51 is one of the highest in the Nation
among State Medicaid programs. The
proposed dispensing fee for generic drugs
would be the highest in the Nation among
State Medicaid programs and would be the
largest variance in dispensing fees between
brand and generic drugs. Accordingly, the
State failed to adequately explain why a
dispensing fee slightly below the 80th
percentile value would not result in most
pharmacies being overpaid to dispense
generic drugs. Therefore, we do not believe
that the State has demonstrated why this is
reasonable.
• Despite the fact that the generic
dispensing fee was set at the maximum cost
in the survey, the State did not adequately
explain why it would further increase the
generic fee above the 80th percentile to
$12.68. While the State claimed that
increasing the dispensing fee would be
budget neutral based on a 2.3 percent
increase in the proportion of total claims
dispensed as generic drugs, it did not explain
why a further incentive from the current $2
differential to a $4 differential was
reasonable.
• In response to our formal concerns, the
State indicated that data do not exist to
differentiate dispensing cost of brand versus
generic drugs. The State indicated that the
intent of the proposed dispensing fee is to
encourage the use of less costly generics, and
thus avoid the higher ingredient
reimbursement of a brand. However, the
State failed to consider the ingredient cost of
drugs as well as the cost of dispensing, to
ensure that both are being paid appropriately.
To increase the dispensing fee without
considering the ingredient cost payment so
that it accurately estimates acquisition cost
results in an overall payment that is
inconsistent with the requirement of the
statute that payments be consistent with
efficiency and economy.
I am scheduling a hearing on your request
for reconsideration to be held on December
9, 2008, at the CMS Dallas Regional Office,
1301 Young Street, Suite 833, Room 1196,
Dallas, Texas 75202, in order to reconsider
the decision to disapprove SPA 07–024. If
this date is not acceptable, we would be glad
to set another date that is mutually agreeable
to the parties. The hearing will be governed
by the procedures prescribed by Federal
regulations at 42 CFR Part 430.
I am designating Mr. Benjamin Cohen as
the presiding officer. If these arrangements
present any problems, please contact the
presiding officer at (410) 786–3169. In order
to facilitate any communication which may
be necessary between the parties to the
hearing, please notify the presiding officer to
indicate acceptability of the hearing date that
has been scheduled and provide names of the
individuals who will represent the State at
the hearing.
Sincerely,
Kerry Weems,
Acting Administrator.
Section 1116 of the Social Security
Act (42 U.S.C. 1316; 42 CFR 430.18)
(Catalog of Federal Domestic Assistance
program No. 13.714, Medicaid Assistance
Program.)
Dated: October 16, 2008.
Kerry Weems,
Acting Administrator, Centers for Medicare
& Medicaid Services.
[FR Doc. E8–25196 Filed 10–22–08; 8:45 am]
BILLING CODE 4120–01–P
DEPARTMENT OF HEALTH AND
HUMAN SERVICES
Administration for Children and
Families
Submission for OMB Review;
Comment Request
Title: Annual Statistical Report on
Children in Foster Homes and Children
in Families Receiving Payment in
Excess of the Poverty Income Level from
a State Program Funded Under Part A of
Title IV of the Social Security Act.
OMB No.: 0970–0004.
Description: The Department of
Health and Human Services is required
to collect these data under section 1124
of Title I of the Elementary and
Secondary Education Act, as amended
by Public Law 103–382. The data are
used by the U.S. Department of
Education for allocation of funds for
programs to aid disadvantaged
elementary and secondary students.
Respondents include various
components of State Human Service
agencies.
Respondents: The 52 respondents
include the 50 States, the District of
Columbia, and Puerto Rico.
ANNUAL BURDEN ESTIMATES
Number of respondents
Number of responses per
respondent
Average burden hours per
response
Total burden
hours
Annual Statistical Report on Children in Foster Homes and Children Receiving Payments in Excess of the Poverty Level From a State Program
Funded Under Part A of Title IV of the Social Security Act ........................
sroberts on PROD1PC70 with NOTICES
Instrument
52
1
264.35
13,746.20
Estimated Total Annual Burden
Hours: 13,746.20.
Additional Information: Copies of the
proposed collection may be obtained by
writing to the Administration for
Children and Families, Office of
Administration, Office of Information
Services, 370 L’Enfant Promenade, SW.,
Washington, DC 20447, Attn: ACE
Reports Clearance Officer. All requests
should be identified by the title of the
information collection. E-mail address:
infocollection@acf.hhs.gov.
OMB Comment: OMB is required to
make a decision concerning the
collection of information between 30
and 60 days after publication of this
document in the Federal Register.
VerDate Aug<31>2005
17:50 Oct 21, 2008
Jkt 217001
Therefore, a comment is best assured of
having its full effect if OMB receives it
within 30 days of publication. Written
comments and recommendations for the
proposed information collection should
be sent directly to the following: Office
of Management and Budget, Paperwork
Reduction Project, Fax: 202–395–6974,
Attn: Desk Officer for the
Administration for Children and
Families.
Date: October 15, 2008.
Janean Chambers,
Reports Clearance Officer.
[FR Doc. E8–25038 Filed 10–21–08; 8:45 am]
DEPARTMENT OF HOMELAND
SECURITY
U.S. Citizenship and Immigration
Services
Agency Information Collection
Activities: Form I–539, Extension of an
Existing Information Collection;
Comment Request
30-Day Notice of Information
Collection Under Review: Form I–539,
Application to Extend/Change
Nonimmigrant Status; OMB Control No.
1615–0003.
ACTION:
BILLING CODE 4184–01–M
PO 00000
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]]>Agencies
[Federal Register Volume 73, Number 205 (Wednesday, October 22, 2008)]
[Notices]
[Page 62999]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: E8-25038]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Administration for Children and Families
Submission for OMB Review; Comment Request
Title: Annual Statistical Report on Children in Foster Homes and
Children in Families Receiving Payment in Excess of the Poverty Income
Level from a State Program Funded Under Part A of Title IV of the
Social Security Act.
OMB No.: 0970-0004.
Description: The Department of Health and Human Services is
required to collect these data under section 1124 of Title I of the
Elementary and Secondary Education Act, as amended by Public Law 103-
382. The data are used by the U.S. Department of Education for
allocation of funds for programs to aid disadvantaged elementary and
secondary students. Respondents include various components of State
Human Service agencies.
Respondents: The 52 respondents include the 50 States, the District
of Columbia, and Puerto Rico.
Annual Burden Estimates
----------------------------------------------------------------------------------------------------------------
Number of Average burden
Instrument Number of responses per hours per Total burden
respondents respondent response hours
----------------------------------------------------------------------------------------------------------------
Annual Statistical Report on Children in 52 1 264.35 13,746.20
Foster Homes and Children Receiving
Payments in Excess of the Poverty Level
From a State Program Funded Under Part A of
Title IV of the Social Security Act........
----------------------------------------------------------------------------------------------------------------
Estimated Total Annual Burden Hours: 13,746.20.
Additional Information: Copies of the proposed collection may be
obtained by writing to the Administration for Children and Families,
Office of Administration, Office of Information Services, 370 L'Enfant
Promenade, SW., Washington, DC 20447, Attn: ACE Reports Clearance
Officer. All requests should be identified by the title of the
information collection. E-mail address: infocollection@acf.hhs.gov.
OMB Comment: OMB is required to make a decision concerning the
collection of information between 30 and 60 days after publication of
this document in the Federal Register. Therefore, a comment is best
assured of having its full effect if OMB receives it within 30 days of
publication. Written comments and recommendations for the proposed
information collection should be sent directly to the following: Office
of Management and Budget, Paperwork Reduction Project, Fax: 202-395-
6974, Attn: Desk Officer for the Administration for Children and
Families.
Date: October 15, 2008.
Janean Chambers,
Reports Clearance Officer.
[FR Doc. E8-25038 Filed 10-21-08; 8:45 am]
BILLING CODE 4184-01-M
